Use your Amerigroup STAR+PLUS MMP (Medicare-Medicaid Plan) Over-the-Counter (OTC) Flexible Benefit to save Use this catalog to spend your OTC Flexible Benefit and Amerigroup Member Rewards dollars. Choose from a variety of OTC drugs and health-related items at Walmart. It’s easy.

Items listed are just a sample. The same great categories in this catalog are also covered in stores and online – with more to choose from!

5029903 500970MUSENAGP_0006 2020 OTC Catalog AGP Generic v1 0006

2020 Over-the-Counter Health Products Catalog

H8786_20_112061_R CMS Approved 11/14/2019 502898TXDENAGP

5061401 502898TXDENAGP 2020 OTC Catalog 08152019

Get over-the-counter (OTC) items from Walmart!

Use this catalog for your Amerigroup STAR+PLUS MMP OTC Flexible Benefit. Our plan also offers you the Amerigroup Member Rewards program with reward dollars to spend on Walmart OTC items.

The convenience of Walmart and an OTC Member Rewards Card

Use this card to buy items using your OTC Flexible Benefit and your Amerigroup Member Rewards. If you did not get your card, please call 1-866-413-2582 (TTY: 711) from 8 a.m. to 8 p.m., local time, 7 days a week, October through March; and beginning in April, Monday through Friday. This call is free.

Get started with your OTC Flexible BenefitEvery three months, we’ll add a $51 allowance to your OTC Member Rewards Card to spend on items in this catalog. The allowance will be added to your account on each of these dates:

• January 1• April 1• July 1• October 1

Be sure to use all of your allowance every three months. Any remaining OTC Flexible Benefit dollars will not carry over into the next three-month period.

Redeem atRedeem at

Amerigroup STAR+PLUS MMP (Medicare-Medicaid Plan)

Over-the-Counter Member Rewards

SAMPLE

2

3

Get Amerigroup Member Rewards for doing healthy activitiesComplete a healthy activity from the chart below and we’ll add Amerigroup Member Rewards dollars to your OTC Member Rewards Card. Here’s how to complete an activity:

1. Visit your primary care provider and complete any of the healthy activities. Call Member Services toll-free at 1-855-878-1784 (TTY: 711), Monday through Friday, from 8 a.m. to 8 p.m. local time to see if you qualify for certain rewards.

2. Your doctor will send us a bill for the healthy activity.

3. Once we get the bill, we’ll add the Amerigroup Member Rewards dollars to your OTC Member Rewards Card.

4. Use your rewards to purchase items in this catalog.

Healthy Activity Reward Condition, Age

How Often

Attend the in-person or by-phone Inter-Disciplinary Team (IDT) meeting with your service coordinator and primary care provider (optional) to talk about your care plan.

$20 All members, All ages

Once every year

Visit your primary care provider for your annual checkup. $20 All members, All ages

Once every year

Get your annual flu shot. $20 All members, All ages

Once every year

Call your service coordinator within three days of the day you were released from a hospital, skilled nursing facility, or nursing home to complete the post-discharge process. To reach your service coordinator, call 1-855-878-1784 (TTY: 711), Monday through Friday from 8 a.m. to 8 p.m. local time. The call is free.

$25 All members, All ages No limit

Visit your primary care provider within 14 days from the day you were released from a hospital, skilled nursing facility, or nursing home.

$20 All members, All ages No limit

Get a retinopathy eye exam, kidney exam, and HbA1c blood test; all three exams must be completed to qualify. $60 Diabetic,

All agesOnce every

year

Get a blood pressure reading under 140/90 and fax it to Amerigroup Member Rewards at 1-844-206-3448. $20

High blood pressure, All ages

Once every six months

Get a breast cancer screening. $20 Female, Ages 40+

Once every year

Get a colorectal cancer screening. $20 All members, Ages 50+

Once every year

44

2. Order onlineYou can shop online or use the mobile app to order for in-store pick up or delivery to your home.

See the instructions that came with your OTC Member Rewards Card for details.

1. Buy in-storeConvenient in-store shopping is available at Walmart locations near you.

3 easy ways to use your benefit ... pick your favorite!

3. Call for deliveryLook up the product in this catalog and call 1-866-413-2582 (TTY: 711) to have it delivered to your home. If you don’t find what you’re looking for, our friendly Customer Service representatives can help you find a similar product.

5

Thousands of items coveredWe give you an OTC Flexible Benefit allowance and Amerigroup Member Rewards to spend on non-prescription OTC drugs and health-related items you use every day. Items include antacids, cough drops, first aid supplies, pain relief, vitamins, and more! See page 7 of the catalog or call Customer Service for details at 1-866-413-2582 (TTY: 711).

Walmart’s convenient locations and every day low prices make your benefit go furtherYou probably live within a few miles of a Walmart store. A lot of people do.

Answers to your questions about your OTC Flexible Benefit

Q: What’s the difference between my OTC Flexible Benefit and Amerigroup Member Rewards? A: Your OTC Flexible Benefit gives you up to $51 to order OTC items every three months. You don’t have to

do any special activity to get this benefit. With Amerigroup Member Rewards, you have to do a healthy activity, like your annual checkup with your primary care provider, to earn rewards. Review the chart on page 3 for the complete list of healthy activities.

Q: How often can I place an order? A: We suggest you place one order every month. If the total amount of your order is more than your unused

OTC Flexible Benefit allowance plus any earned Amerigroup Member Rewards dollars, you will need to pay the extra amount with another form of payment. Or you can ask the cashier to remove items that exceed your available balance. To find out how much you have in your account, call 1-866-413-2582 (TTY: 711) 24 hours a day, 7 days a week.

6

Q: Can I use my OTC Member Rewards Card for items not in the catalog? A: Yes, if you don’t see your favorite products here, there’s more! Check online at www.HealthyBenefitsPlus.com/AmerigroupMMPOTC and shop from a larger selection.

Q: Can I use my OTC Member Rewards Card at a store? A: Yes, you can use your OTC Member Rewards Card at Walmart stores.

Q: Can I mail and/or fax my order? A: No, please use one of the three convenient methods of ordering: phone, in-store, or the online/mobile app.

Q: How long does it take for items to get sent to me after I order them? A: Your order will be processed within two to five business days, and it can take up to 10 business days for you to

get your items. Your items will be sent by U.S. Postal Service mail, and each order will be tracked for delivery.

Q: How do I return items? A: Please follow the Walmart return policy.

Q: Who do I call with questions? A: Please call Customer Service at 1-866-413-2582 (TTY: 711) from 8 a.m. to 8 p.m., local time, 7 days a week,

October through March; and beginning in April, Monday through Friday.

Q: Can I use my OTC Member Rewards Card to purchase items for other people? A: No, you can only buy items for your use, not for family members or friends.

Q: Can I use my OTC Member Rewards Card for prescription drugs? A: No, you can only use your OTC Member Rewards Card for OTC items. To order prescription drugs by mail, call

IngenioRx Mail Order at 1-833-203-1738 (TTY: 711), 24 hours a day, 7 days a week. The call is free.

Q: What happens if I don’t use all of my allowance every three months as part of my OTC Flexible Benefit? A: Amerigroup STAR+PLUS MMP puts money into your OTC Flexible Benefit account when you first enroll and

again every three months (each quarter). Unused funds do not carry over from one three-month allowance period to the next. Any unused amounts expire at the end of each quarter and on December 31 of each year.

Answers to your questions about Amerigroup Member Rewards

Q: Once I complete an Amerigroup Member Rewards activity, how do I get my reward dollars? How long does it take for them to be available?

A: That depends on how quickly your doctor sends a bill to Amerigroup STAR+PLUS MMP. Once we process the bill, we’ll add the reward to your card on the first business day of the following month. We’ll also send you a letter notifying you of the reward. Letters are sent monthly.

Q: Do my Amerigroup Member Rewards dollars ever expire? A: Yes, they expire at the end of every year (December 31) or if you stop being a member of our plan.

Q: How do I know how much money I have left on my OTC Member Rewards Card? A: Your OTC Member Rewards Card will include funds from your OTC Flexible Benefit and any earned Amerigroup

Member Rewards. To find out how much you have on your OTC Member Rewards Card, call 1-866-413-2582 (TTY: 711), 24 hours a day, 7 days a week.

NOTE: Product details used in this catalog came from the makers of the products. Amerigroup STAR+PLUS MMP does not endorse any of the products. Please ask your doctor for advice about your own health needs. Your doctor may choose to have you use items not listed in this catalog. Items in this catalog may change based on availability and current regulations.

7

Table of Contents

How to Use This Catalog

The great brands shown on the following pages are a sample of what can be purchased in-store or online. Multiple sizes and variations of each brand may be eligible, with thousands available in total.

For phone orders, use the Easy-Buy Product List starting on page 13. When you’re ready to order, reference your card number as well as the item number of your desired product.

For example, if Equate Max Strength Antacid is listed, you can purchase different sizes and flavors, in addition to the one shown. (Items shipped may appear different than items pictured in this catalog.)

Allergy and Sinus .............................................................. 8Bath Safety ....................................................................... 8Braces, Supports and Heating Pads .................................. 8Cold, Cough, Flu and Sinus ............................................... 8Diabetes OTC .................................................................... 8Digestive Health - Antacids ............................................... 8Digestive Health - Laxatives and Hemorrhoid Relief ......... 9Eye Care and Ear Care ....................................................... 9Feminine Hygiene ............................................................. 9First Aid ............................................................................. 9Foot Care .......................................................................... 9Health Monitors ............................................................. 10Incontinence ................................................................... 10Oral Care ......................................................................... 10Pain Relievers ................................................................. 10Skin Care ......................................................................... 11Sleep and Snoring ........................................................... 11Smoking Cessation .......................................................... 12Vitamins and Supplements ............................................. 12Easy-Buy Product List ..................................................... 13

8

ALLERGY AND SINUS

BATH SAFETY

BRACES, SUPPORTS AND HEATING PADS

COLD, COUGH, FLU AND SINUS

DIGESTIVE HEALTH - ANTACIDS

Select your products from Equate in Allergy and Sinus – multiple sizes and variations may be eligible.

Select your products from Equate, Mainstays in Bath Safety – multiple sizes and variations may be eligible.

Select your products from Equate, in Braces, Supports and Heating Pads – multiple sizes and variations may be eligible.

Select your products from Equate, in Sinus Nasal Sprays and Strips and Sore Throat – multiple sizes and variations may be eligible.

Select your products from Equate, in 12-Hour, 24-Hour and 30-Minute Heartburn Relief – multiple sizes and variations may be eligible.

DIABETES OTCSelect your products from ReliOn in Diabetes OTC – multiple sizes and variations may be eligible.

This is not a full list of all brands and products available. Additional brands may be available in stores and online. Product assortment and availability may vary by location.

9

DIGESTIVE HEALTH - LAXATIVES AND HEMORRHOID RELIEF

EYE CARE AND EAR CARE

FOOT CARE

FEMININE HYGIENE

FIRST AID

Select your products from Equate, in Anti-Diarrheal, Fiber, Hemorrhoid Relief, Motion Sickness and Nausea and Stimulants – multiple sizes and variations may be eligible.

Select your products from Equate, in Contact Lens Care, Dry Eye, Ear Care, Eye Antihistamines and Eye Decongestants – multiple sizes and variations may be eligible.

Select your products from Equate, in Antifungals, Corn, Callus, Bunion and Wart Removers – multiple sizes and variations may be eligible.

Select your products from Equate, in Feminine Hygiene – multiple sizes and variations may be eligible.

Select your products from Equate, in Alcohol and Peroxide, Anti-Itch and Cortisone Creams, Antibiotics and Antiseptics, Bandages and Gauze, Burn Relief, Compression, Epsom Salt, First Aid Kits, Hand Sanitizers and Scar Care, Hot and Cold Packs, Skin Care and Tapes and Wraps – multiple sizes and variations may be eligible.

These products can be purchased in-store and online. To order products by phone, use the list starting on page 13.

10This is not a full list of all brands and products available. Additional brands may be available in stores and online. Product assortment and availability may vary by location.

HEALTH MONITORS

INCONTINENCE

ORAL CARE

PAIN RELIEVERS

Select your products from Equate, in Blood Pressure Monitors and Thermometers – multiple sizes and variations may be eligible.

Select your products from Equate, in Guards and Shields, Pads and Liners, Skin Protectants, Underpads, Underwear and Briefs – multiple sizes and variations may be eligible.

Select your products from Equate, in Battery and Rechargeable Toothbrushes, Denture Care, Floss, Manual Toothbrushes and Toothpaste – multiple sizes and variations may be eligible.

Select your products from Equate, in Acetaminophen, Aspirin, Headache Relief, Ibuprofen, Menstrual Relief, Naproxen Sodium, Patches, PM and Sleep Aids and Rubs – multiple sizes and variations may be eligible.

These products can be purchased in-store and online. To order products by phone, use the list starting on page 13. 11

SKIN CAREACNE AND BLEMISH TREATMENTS

SUNSCREEN AND ALOE

THERAPEUTIC LOTION AND OINTMENTS

SLEEP AND SNORING

MEDICATED LIP CARE

Select your products from Clean & Clear and Equate, in Acne and Blemish Treatments – multiple sizes and variations may be eligible.

Select your products from Equate, in Sunscreen and Aloe – multiple sizes and variations may be eligible.

Select your products from Equate, in Therapeutic Lotion – multiple sizes and variations may be eligible.

Select your products from Equate, in Nasal Strips and Sleep Aids – multiple sizes and variations may be eligible.

Select your products from Abreva, in Medicated Lip Care – multiple sizes and variations may be eligible.

12This is not a full list of all brands and products available. Additional brands may be available in stores and online. Product assortment and availability may vary by location.

SMOKING CESSATION

VITAMINS AND SUPPLEMENTS

Select your products from Equate, in Gum and Patches – multiple sizes and variations may be eligible.

Select your products from Equate and Spring Valley in Joint Health, Letter Vitamins, Melatonin, Minerals and Supplements and Multivitamins – multiple sizes and variations may be eligible.

13

Easy-Buy Product List

Use this list of well-stocked items to make your buying easier!Want to place an order over the phone? Simply have your OTC Member Rewards Card number handy, find the product(s) and item number(s) you’d like to order, and call 1-866-413-2582 (TTY: 711) to order. Don’t see what you are looking for? Go to www.HealthyBenefitsPlus.com/AmerigroupMMPOTC to view a list of all the available products.

ALLERGY AND SINUS

Subcategory Item ID Description PriceAllergy & Sinus 519540090 Equate 2pk Chlorpheniramine Antihist Tblts, 4 mg, 100ct $5.92Allergy & Sinus 20629926 Equate Allergy Relief Cetirizine Tblts, 10mg, 2pk (90ea) $26.98Allergy & Sinus 20629924 Equate Allergy Relief Antihistamine Tblts 2pk, 25mg, 100ct $6.98Allergy & Sinus 990251621 Equate Fexofenadine Hydrochloride Tblts 180mg 2x30ct $19.97Allergy & Sinus 20629925 Equate 24h Non-Drowsy Allergy Relief Tblts, 10mg, 300ct $23.98BATH SAFETYSubcategory Item ID Description PriceBath Safety 187599783 Mainstays 18” x 36” Rubber Bath Mat, White $7.96Bath Safety 14179128 Equate Bathroom Safety Rail $45.88Bath Safety 560666006 Equate Grab Bar, 16.5” $14.88Bath Safety 355262006 Equate Bed/Bath Grip Bar Bathtub & Shower Handle, 11.5” $11.88Bath Safety 665844723 Waterpik 6-Mode EcoFlow Hand Held Shower Head, White, 1.8 $19.97Bath Safety 14179132 Equate Bed/Bath Locking Raised Toilet Seat w Adjust. Handles $39.53Bath Safety 14179130 Equate Bath & Shower Seat w Back $38.88BRACES, SUPPORTS AND HEATING PADSSubcategory Item ID Description PriceBraces & Supports 940451045 Equate 2pk Wrist Support With Loop, One Size $5.96Braces & Supports 49071880 Mueller Green Adjustbl Back/Abdominal Support, Black, One Size $19.46Braces & Supports 397972356 Equate Adjustable Knee Brace, One Size $10.92Braces & Supports 545931201 Equate Adjustable Ankle Support, One Size $7.92Braces & Supports 510508434 Equate Elastic Knee Stabilizer, L/XL $9.94Braces & Supports 347926443 Equate Adjustable One Size Elbow Support $7.92Braces & Supports 169001915 ACE Deluxe Thumb Stabilizer, Adjustable, Black, 1/Pk $16.67Braces & Supports 563509505 Equate Elastic Knee Stabilizer, S/M $9.94Braces & Supports 23598250 ACE Back Brace, Adjustable, Black/Gray, 1/Pk $17.82Braces & Supports 23598249 ACE Reversible Splint Wrist Brace, Adjustable, Gray, 1/Pk $10.55

Call 1-866-413-2582 (TTY: 711) to order these products by phone. Prices and item numbers subject to change.

14

Compression 19898472 FUTURO Energizing Graduating Trouser Socks for Women, Black, M $10.00Compression 19898468 FUTURO Graduated Anti-Embolism Thigh-Length Stockgs, White, M $24.76Heating Pads 25479730 Sunbeam Moist/Dry Heating Pad, Model 731-500 $13.98COLD, COUGH, FLU AND SINUSSubcategory Item ID Description PriceCold, Cough, Flu 10416120 Vicks VapoRub Cough Suppressant Topical Analgesic Ointmt, 3.53oz $8.44Cold, Cough, Flu 40816792 Equate Maximum Strength Day & Night Sinus Caplets, 20ct $6.97Cold, Cough, Flu 17248444 Equate Nighttime Flu & Severe Cold & Cough packets, 650mg, 6ct $3.74Cold, Cough, Flu 421960486 Advil Multi-Symptom Cold & Flu Tablet, 20 ct $8.98Cold, Cough, Flu 580545345 Equate Mucus ER Extended-Release Tblts, 600mg, 20ct $8.92Cold, Cough, Flu 22822801 Equate Suphedrine PE Nasal Decongestant Tblts, 10mg, 72ct $5.98Nasal Sprays 966708104 Equate 2pk Non-Drowsy Allgy Relief NasalSpray, 50 mcg, 0.54oz $20.67Nasal Sprays 778281964 Equate 4pk Fast Acting Nasal Spray Solution, 1oz $11.28Nasal Sprays 440370809 Equate 3pk Premium Saline Nasal Spray, 1.5oz $5.91Nasal Sprays 127783889 Vicks VapoInhaler Portable Nasal Inhaler, 2ct $9.94Sore Throat 426331191 Equate 2pk Value Sz Sugar-Free HoneyLemon Cough Drops, 140ct $6.95Sore Throat 11047056 Chloraseptic Sore Throat Spray, Cherry, 6 floz $5.68DIABETES OTCSubcategory Item ID Description PriceGlucose Tblts 883194164 ReliOn 2pk Fruit Punch Glucose Tabs, 50ct $7.96DIGESTIVE HEALTH - ANTACIDSSubcategory Item ID Description Price12h Heartburn 24360533 Equate Max Strength Acid Reducer Famotidine Tblts, 20mg, 200ct $9.8824h Heartburn 8457196 Equate 3pk Esomeprazole Magnesm Delayed-Rel Caps, 20mg, 42ct $14.9724h Heartburn 10324782 Equate Acid Reducr Omeprazole Delayd-Release Tblts, 20mg, 42ct $14.9730min Heartburn 108599090 Equate 2pk MaxStrgth Antacid/Anti-Gas Liquid, 400 mg, 12oz $4.8830min Heartburn 17177011 Alka-Seltzer Original Effervescent Tblts, 72ct $8.4230min Heartburn 21082590 Equate 2pk Extra Strgth Antacid Chewable Tblts, 750mg, 200ct $6.98Gas Relief 10294134 Gas-X Extra Strength Gas Relief Softgels, 72ct $12.74Gas Relief 55041892 Equate Dairy Relief Caplets, Original, 120ct $8.87Gas Relief 54883662 Equate ExtraStrgth Antacid/Anti-Gas Chews, Mixed Berry, 54ct $4.78DIGESTIVE HEALTH - LAXATIVES AND HEMORRHOID RELIEFSubcategory Item ID Description PriceAnti-Diarrheal 820546134 Equate 2pk Loperamide Hydrochloride, Mint, 4 floz $5.56Anti-Diarrheal 888072324 Equate 2pk Milk of Magnesia Saline Laxative, 1200 mg, 26 fl oz $7.14Anti-Diarrheal 34764454 Equate 2pk RegStrength Stomach Relief Liquid, 525mg, 16 fl oz $4.98Anti-Diarrheal 10317156 Pepto Bismol Chewable Tblts 5-Symptom Relief, 30ct $4.28Fiber 14122821 Equate ClearLAX Polyethylene Glycol 3350 Laxtve Powder, 30 doses $12.92Fiber 10324627 Equate Daily Fiber Capsules, 160ct $4.98Hemorrhoid Relief 254399492 PreparationH MaxStr Multi-Sympt Pain Relief Cream w Aloe, 1.8oz $11.49Hemorrhoid Relief 668270960 PreparationH Ointmt for Itching/Burning/Discomfort Relief, 1oz $5.98

This is not a full list of all brands and products available. Additional brands may be available in stores and online.

15Call 1-866-413-2582 (TTY: 711) to order these products by phone. Prices and item numbers subject to change.

Hemorrhoid Relief 47094269 Equate Max Strength Medicated Cool Relief Pads, 200ct $5.98Nausea 31714421 Equate Motion Sickness Relief Dimenhydrinate Tblts, 50mg, 100ct $4.37Stimulants & Stl Sftnrs 17248343 Equate Gentle Laxative Bisacodyl Coated Tblts, 5mg, 100ct $4.74Stimulants & Stl Sftnrs 10403743 Equate Natural Laxative Sennosides USP Tblts, 8.6mg, 100ct $4.78Stimulants & Stl Sftnrs 36480278 Equate Max Strength Sennosides USP Laxative Tblts, 20mg, 90ct $6.98Stimulants & Stl Sftnrs 688592508 Equate Stool Softener Softgels, 280ct $7.76Stimulants & Stl Sftnrs 10294317 Fleet Liquid Glycerin Laxative Suppositories, 7.5ml, 4ct $4.24EYE CARE AND EAR CARESubcategory Item ID Description PriceContact Lens Care 612154593 Equate Enhanced Contact Lens Cleaner, Step 1, 1 floz $7.44Contact Lens Care 11988897 Bausch & Lomb Boston Original Conditioning Solution, 3.5 floz $8.77Contact Lens Care 10324537 Equate 2pk Sterile Multipurpose Contact Solution, 12oz $5.98Contact Lens Care 21002523 Equate 2pk Lens Care System Contact Lens Liquid, 12 floz $10.48Dry Eye 10294097 Refresh Plus Lubricant Eye Drops 0.01 floz tubes, 70ct $20.54Dry Eye 37233435 Equate 2pk Comfort Lubricant Eye Gel, 0.5 floz, 2ct $8.97Dry Eye 128640707 LUMIFY Redness Reliever Eye Drops, 0.25 floz (7.5ml) $19.97Dry Eye 37233434 Equate 2pk Support Advancd Lubricant Eye Drops, 0.5 floz, 2ct $10.44Ear Care 23598026 Debrox Earwax Removal Aid Drops, 0.5 floz $5.98Eye Antihistm. 34771928 Equate Eye Itch Relief Antihistamine Eye Drops, 0.34oz, 60ct $8.96Eye Antihistm. 445559209 Equate Eye Itch Relief Antihistamine Eye Drops, 0.34 floz, 2ct $16.76Eye Antihistm. 486568823 Equate Support Advanced Lubricant Eye Drops, 0.5 floz, 2pk $14.87FEMININE HYGIENESubcategory Item ID Description PriceFeminine Hygiene 882259 Equate Miconazole Vaginal Antifungal 3-Day Treatmt, 200mg $5.97Feminine Hygiene 10324784 Equate Miconazole Vaginal Cream w Disposable Applicators, 1.59oz $4.97FIRST AIDSubcategory Item ID Description PriceAlc & Peroxide 565615905 Equate 4pk 3% Hydrogen Peroxide 32oz $3.52Alc & Peroxide 706238851 Equate 2pk 70% Isopropyl Alcohol, 32 Oz $3.92Alc & Peroxide 271733338 ReliOn 2pk Skin Cleanser Sterile Alcohol Swabs, 400ct $7.48Anti-Itch/Cortisone 541182374 Equate 2pk Bacitracin Zinc USP Ointmt, 1oz $5.74Anti-Itch /Cortisone 349687584 Equate 2pk Extra Strength Anti-Itch Continuous Spray, 2.7oz $7.56Anti-Itch/Cortisone 23736260 Equate Maximum Strength 1% Hydrocortisone w Aloe Cream, 2oz $4.52Anti-Itch/Cortisone 20659620 Equate Max Strength Anti-Itch Hydrocortisone Cream, 2oz, 2ct $6.98Anti-Itch/Cortisone 54988153 After Bite Xtra, New and Improved $5.19Antibiotic/Antiseptic 742706051 Equate 2pk First Aid Antibiotic Ointmt, 2oz, 2ct $7.96Antibiotic/Antiseptic 220877564 Equate 2pk First Aid Antibiotic Pain Relieving Ointmt, 1oz $7.96Antibiotic/Antiseptic 347050584 Band Aid 2pk FirstAid Hurt-Free Antiseptc Wash Treatmt, 6 fl oz $7.62Antibiotic/Antiseptic 21141485 Lanacane First Aid Spray, 3.5oz $5.65Bandages & Gauze 939153521 New-Skin 2pk Liquid Bandage, 0.3oz $7.14Bandages & Gauze 843761858 Band-Aid 2pk Sheer Strips Adhesive Bandages, One Size, 40ct $4.46Bandages & Gauze 524363628 Equate 2pk Extra Large Surgical Dressing, 12ct $7.66

16 This is not a full list of all brands and products available. Additional brands may be available in stores and online.

Bandages & Gauze 895262657 Equate Self-Adhering 2” Elastic Bandages, 2ct $4.98Bandages & Gauze 744521299 Equate Flexible Antibacterial Fabric Bandages, 100ct $4.97Bandages & Gauze 191193830 Equate Rolled Gauze, Valuepk, 5ct $4.82Bandages & Gauze 400745681 Equate Gauze Pads, 25ct $4.54Bandages & Gauze 21854487 Curad Flex Seal Spray Bandage, 40ml $6.79Bandages & Gauze 191616103 Equate Heavy-Duty Antibacterial Fabric Bandages, 60ct $4.97Bandages & Gauze 790375157 Equate Antibacterial Assorted Bandages Variety Pack, 120ct $6.67Burn Relief 225552526 Equate 2pk Burn Relief Gel with Lidocaine, 8oz $7.96Compression 55447448 Truform Lymphedema Compression Arm Sleeve: 20-30 mmHg $34.99Compression 188555469 Meister Graduated 20-25mmHg Compression Leg Sleeves (Pair) $16.05Epsom Salt 7325251 Dr Teal’s Pure Epsom Salt Therapeutic Soak, 6lb $4.97First Aid Kits 153083751 Equate 2pk On-The-Go First Aid Kit, 85 Items $9.66Hand Sanitizers and Scar Care 644038688 Equate Hand Sanitizer w Vitamin E, 60 floz $5.97Hot and Coldpks 788227180 Equate 2pk Instant Cold Compress, 2ct $5.96Hot and Coldpks 649292983 Equate Reusable Hot or Cold Therapy Water Bottle, 2qt $6.88Skin Care 680091800 Equate 2pk Beauty Jumbo Cotton Balls, 400ct $7.14Skin Care 10294061 Aveeno Soothing Bath Treatmt w Natural Colloidal Oatmeal, 8ct $6.97Skin Care 28826865 Q-tips Cotton Swabs, 1000 ct $5.88Skin Care 17325254 LICE FREEE! $8.78Skin Care 186953437 Nix Ultra 2-in-1 Lice Elimination System $17.98Tapes and Wraps 762518251 Equate 2pk Self-Adhering Sports Wrap, 4” X 2.2 yds $7.48Tapes and Wraps 513086537 Band-Aid 2pk First Aid Medical Paper Tape, 1in x 10yd, 2ct $6.54FOOT CARESubcategory Item ID Description PriceAntifungals 10324685 Equate Athletes Foot Antifungal Cream, 2oz $5.98Antifungals 236528621 Equate 2pk Athlete’s Foot Powder Spray, 4.6oz $5.92Corn, Callus, Bunion 828119552 Equate 4pk Liquid Corn and Callus Remover, 0.31oz $6.96Corn, Callus, Bunion 261863039 Equate 4pk Super Moleskin Padding Sheets, 3ct $5.92Corn/ Callus 10818554 Equate Gel Bunion Guard $4.42Corn/ Callus 10818555 Equate LittleToe Gel Sleeves, 2ct $4.68Corn/ Callus 10818556 Equate Hammer Toe Gel Cushions $4.42Wart Removers 933511911 (2pk) Equate Maximum Strength Liquid Wart Remover, 0.31 floz $6.46Wart Removers 33892459 Equate Maximum Strength One-Step Wart Remover Strips, 14ct $4.48HEALTH MONITORSSubcategory Item ID Description PriceBlood Pressure 236438190 Equate 8000 Series Premium Upper Arm Blood Pressure Monitor $57.88Blood Pressure 477827819 Equate 4000 Series Upper Arm Blood Pressure Monitor $28.44Blood Pressure 506668200 Equate 4500 Series Wrist Blood Pressure Monitor $39.88Thermometers 446266698 Equate 8 Second Stick Thermometer $6.48Thermometers 130045286 Equate Temple Touch Thermometer $12.88

17Call 1-866-413-2582 (TTY: 711) to order these products by phone. Prices and item numbers subject to change.

INCONTINENCESubcategory Item ID Description PriceGuards & Shields 843897280 Assurance Male Guard, 52ct $9.54Guards & Shields 11148237 Assurance Incont. Belted Shield Unisex, Moderate Absrb., 1sz, 30ct $9.88Pads and Liners 923401444 Equate Options 2pk Incont. Linrs for Women, VLight, Long, 48ct $6.92Pads and Liners 768378830 Equate Options 2pk Incont. Linrs for Women, VLight, Reg, 51ct $6.92Pads and Liners 544267870 Equate Options 2pk Incontnce Pads for Women, Light, Reg, 34ct $6.92Pads and Liners 202745137 Equate Options Incont. Pads for Women, Max Absorbcy., Long, 72ct $14.34Pads and Liners 24389830 Equate Body Curve Incont. Pads for Women, Moderate, Reg, 54ct $8.97Pads and Liners 154043552 Equate Ultimate Overnight Incontinence Pads for Women, 120ct $28.39Skin Protectants 21092569 Equate Baby Diaper Rash Paste, 16oz $7.97Skin Protectants 38192980 Cottonelle FreshCare Flushable Wipes, 168ct $7.28Skin Protectants 24360534 Assurance Premium Disposable Washcloths, XL, 144ct $6.97Underpads 636352605 Equate Assurance Max Absorbcy Unisex Quilted Underpad, L, 18ct $5.68Underpads 167121557 Equate Assurance Max Absorbcy Unisex Quilted Underpad, XL, 30ct $15.74Underpads 854467617 Mainstays Waterproof Soft Top Underpad, 2ct $9.92Underwear 28848303 Equate Assurance Underwear for Men, Size S/M, 40ct $15.74Underwear 28538877 Assurance Incont. Underwear for Women, Max, S/M, 40ct $15.74Underwear 112376620 Assurance Incontinence Underwear for Women, Size XL, 48ct $21.62Underwear 32272726 Assurance Incontinence Underwear for Women, 2XL, 14ct $7.88Underwear 28538879 Assurance Underwear, Men’s, Size L/XL, 36ct $15.74Underwear 28826871 Assurance Underwear, Women’s, Size L, 54ct $21.62ORAL CARESubcategory Item ID Description PriceDenture Care 701639886 Equate 2pk Antibacterial Denture Cleanser Tblts, Mint, 120ct, 2pk $11.44Denture Care 55063164 Fixodent Complete 3pk Denture Adhesive Cream, 2.4oz $11.94Denture Care 10997251 Sea Bond Secure Lower Denture Adhesive Seals, Fresh Mint, 30ct $5.97Denture Care 35230562 Equate Extra Comfort Mint Dental Floss, 40m, 2ct $4.27Denture Care 839328478 Plackers 4pk Back Teeth Micro Mint Dental Floss Picks, 75ct $11.88Denture Care 10417141 Anbesol Max Strength Oral Anesthetic Liquid, 0.41 floz $6.27Floss 48082700 DenTek Easy Brush Cleaners for Extra Tight Spaces 16ct $3.86Toothbrushes 50018582 Equate Infinity Rechargeable Electric Toothbrush w 2 Replcmt Heads $17.86Toothbrushes 50018580 Equate EasyFlex Total Power Toothbrush w 2 Replacement Heads $6.21Toothbrushes 22089980 Equate EasyFlex Flossing Replacement Toothbrush Heads, 3ct $6.47Toothbrushes 170231717 Colgate 360 Adult Toothbrush, M, 4ct $6.60Toothbrushes 767829387 Equate Multi Level Soft Orbit Toothbrush, 4ct $4.47Toothbrushes 10312788 DenTek 2pk Comfort-Fit Dental Guard for Nighttime Teeth Grinding $29.97Toothbrushes 20854725 Orabrush Tongue Cleaner by DenTek, 1ct $4.47Toothpaste 826924088 Biotene 3pk Moisturizing Mouth Spray, Sugar-Free, Mint, 1.5 oz $17.80Toothpaste 791482107 Equate 2pk Sensitive Extra Whitng Toothpaste w Fluoride, 4oz $6.94Toothpaste 287965869 Crest 3pk BakingSoda/Peroxide Whiteng w Tartar Toothpaste, 6.4oz $4.97

18 This is not a full list of all brands and products available. Additional brands may be available in stores and online.

Toothpaste 17248145 Biotene OralBalance Moisturizing Gel, Flavor-Free, Alchl-Free, 1.5oz $6.33Toothpaste 580400401 Colgate 3pk Cavity Protection Toothpaste w Fluoride, 6oz $3.96Toothpaste 888936473 Aquafresh 3pk Whiteng & Cavity Protectn Fluoride Toothpaste, 5.6oz $4.69Toothpaste 22210494 Arm & Hammer 2pk Extreme Whitng BkgSoda/Prxide Toothpst, 6oz $5.44PAIN RELIEVERSSubcategory Item ID Description PriceAcetamino. 10294210 Tylenol Regular Strength Tblts w 325mg Acetaminophen, 100ct $6.97Acetamino. 10294196 Tylenol Extra Strength Caplets w 500mg Acetaminophen, 225ct $14.97Acetamino. 28986015 Equate Acetaminophen Extended-Release Tblts, 650mg, 225ct $9.96Acetamino. 10403812 Equate ExtrStrgth Acetaminophen Rapid-Rel Gelcaps, 500mg, 225ct $9.97Aspirin 520273857 Equate 2pk Low-Dose Chewable Aspirin, Cherry, 81mg, 36ct, 3pk $4.96Aspirin 22822797 Equate 2pk Low-Dose Aspirin Enteric Coated Tblts, 81mg, 500ct $5.97Aspirin 12444552 Bayer Aspirin PainRelievr/FeverReducr Coated Tblts, 325mg, 200ct $9.84Aspirin 21119343 Joseph Low-Dose Aspirin Coated Tblts, 81mg, 365ct $11.99Headache Relief 410029786 Equate Headache Relief Geltabs, Extra Strength, 80ct $5.96Headache Relief 24766557 Excedrin Migraine for Migraine Headache Relief Caplets, 200ct $17.27Ibuprofen 20629922 Equate 2pk Pain Relief Ibuprofen Coated Tblts, 200mg, 500ct $13.98Menstrual Relief 243101223 (2pk) Equate Maximum Strength Menstrual Complete Caplets, 40ct $5.64Naproxen Sodium 11028273 Equate Naproxen Sodium 220mg Caplets, 300ct $11.98Patches 132536494 (2pk) Equate Capsaicin Pain Relieving Patch Valuepk, XL, 4ct $6.96Patches 17056909 Equate Extra Strength Cool & Heat Medicated Patch, 5ct $4.78Patches 33892461 Equate Back & Hip Heat Wraps, 2ct $4.95Patches 12444544 ThermaCare Advancd NeckPain Therapy Heatwraps, 16h Relief, 3ct $5.94PM & Sleep Aids 12444646 Equate Ibuprofen PM Coated Caplets, 200mg, 80ct $7.86PM & Sleep Aids 40711578 Equate Extra Strength Acetaminophen PM Caplets, 500mg, 100ct $4.98Rubs 466843813 Equate 2pk Cold & Heat Pain Relieving Cream, 3oz. $6.46Rubs 766912697 Equate 2pk Ultra Strength Pain Relief Cream, 4oz $7.60Rubs 10307676 Icy Hot Pain Relieving Vanishing Scent Gel, Menthol, 2.5oz $6.99Rubs 13263176 Icy Hot Medicated No-Mess Applicator, 2.5oz $5.48Rubs 39882333 Blue-Emu Super Strength Topical Cream, 12oz $26.88Rubs 692263008 Equate Max Strength Pain Relieving Cream Lidocaine 4%, 2.7oz $4.98Rubs 26971669 Ultra Strength Pain Relieving Ointmt, Non-Staining, 18gm $5.68SKIN CARESubcategory Item ID Description PriceAcne Trtmt 10801464 Clean & Clear Persa-Gel 10 Benzoyl Peroxide Acne Medctn, 1oz $4.97Acne Trtmt 917594410 Stridex Maximum 2pk Acne Medicatn Pads, 2% Salicylic Acid, 90ct $7.70Acne Trtmt 14272829 Neutrogena Rapid Clear 2-In-1 Fight/Fade Acne Toner, 8 fl oz $7.47Acne Trtmt 877312129 Equate Beauty Oil-Free Acne Wash, 6 fl oz $3.67Lip Care 928752726 Abreva 2pk Docosanol 10% ColdSore/Blister Treatmt Cream, 2g $30.08Lip Care 590858116 Blistex 2pk Medicated Lip Balm, SPF 15, 3pk $5.68Lip Care 368040000 2pk Lip Repair & Protect .35 fl oz Carded Pack $7.48Sunscreen & Aloe 870151635 Equate 3pk After Sun Soothing Gel with Aloe, 20oz $11.19

19Call 1-866-413-2582 (TTY: 711) to order these products by phone. Prices and item numbers subject to change.

Sunscreen & Aloe 671289294 Equate Beauty Ultra Light Sunscreen Stick, SPF 70, 1.5oz $4.48Sunscreen & Aloe 641673015 OFF! Deep Woods Insect Repellent V Ticks Aerosol, 6oz $5.88Sunscreen & Aloe 938779591 Equate 2pk Sport Broad Spectrum Sunscreen Spray, SPF 30, 5.5oz $6.98Sunscreen & Aloe 595733159 (2pk) Equate Ultra Broad Spectrum Sunscreen Spray, SPF 50 $7.64Therapeutic Lotion 292643503 (2pk) Vaseline Original Petroleum Jelly, 13oz $7.96Therapeutic Lotion 198358117 Equate Beauty Diabetic Lotion Dry Skin Therapy, 13oz $4.92Therapeutic Lotion 10811050 Eucerin Advanced Repair Body Lotion, 16.9 fl oz $9.66Therapeutic Lotion 38552032 GOLD BOND Ultimate Rough&Bumpy Skin Daily Therapy Cream, 8oz $9.48Therapeutic Lotion 14520420 Equate Beauty Advanced Healing Ointmt, 14oz $9.92SLEEP AND SNORINGSubcategory Item ID Description PriceNasal Strips 36817817 Equate Extra Strength Tan Nasal Strips, 26ct $6.97Sleep Aids 252822762 Equate Maximum Strength Sleep-Aid Softgels, 50mg, 100ct $9.87SMOKING CESSATIONSubcategory Item ID Description PriceGum 10324630 Equate Uncoated Nicotine Gum, Original Flavor, 4mg, 170ct $32.98Gum 10324629 Equate Uncoated Nicotine Gum, Original Flavor, 2mg, 170ct $32.98Patches 12556782 Equate Nicotine Transderm Systm Step2 Clear Patches, 14mg, 14ct $25.98Patches 12444642 Equate Nicotine Transderm Systm Step3 Clear Patches, 7mg, 14ct $25.98Patches 12556780 Equate Nicotine Transderm Systm Step2 Clear Patches, 14mg, 14ct $25.98VITAMINS AND SUPPLEMENTSSubcategory Item ID Description PriceJoint Health 21289134 Spring Valley Glucosamine Chondroitin Tblts, 1500mg, 40ct $10.74Joint Health 26077110 Spring Valley Glucosamine Sulfate Tblts, 1000mg, 120ct $8.88Letter Vitamins 259346158 Spring Valley 2pk Vitamin A Softgels, 8000 IU, 250ct $7.68Letter Vitamins 40775780 Spring Valley Super B-Complex Tblts, 250ct $7.88Letter Vitamins 24547733 Spring Valley Vitamin B12 Tblts, 2500 mcg, 120ct $7.88Letter Vitamins 10324589 Spring Valley Vitamin C Chewable Fruit Tblts, 500mg, 200ct $5.94Letter Vitamins 26077100 Spring Valley Vitamin D3 Supplement Softgels, 50 mcg, 200ct $6.88Letter Vitamins 19758123 Spring Valley Vitamin D3 Softgels, 5000 IU, 250ct $7.88Letter Vitamins 10324579 Spring Valley Vitamin E Supplemt Softgel Capsules, 400IU, 500ct $11.88Letter Vitamins 10315364 Spring Valley C Supplement w Rose Hips Tblts, 1000mg, 250ct $8.88Melatonin 35912856 Spring Valley Fast-Dissolve Melatonin Tblts, 10mg, 120ct $8.88Melatonin 40711581 Spring Valley Fast-Dissolve Melatonin Tblts, 5mg, 120ct $5.94Multivitamins 46707147 Equate Complete Multivitamin Tblts, Men 50+, 200ct $11.88Multivitamins 46521544 Equate Complete Multivitamin Tblts, Women 50+, 200ct $11.88Supplements 219756987 Spring Valley 2pk Beta Carotene Softgels, 25000 IU, 100ct $7.68Supplements 271149597 Spring Valley 2pk Folic Acid Tblts, 800 mcg, 400ct $7.90Supplements 325036551 Spring Valley 2pk Iron Supplement Tblts, 27 mg, 250ct $8.33Supplements 19758124 Spring Valley Biotin Softgels, 5000 mcg, 240ct $8.88Supplements 893256 Spring Valley Calcium & Vitamin D Coated Tblts, 600mg, 250ct $5.94Supplements 15544073 Caltrate Bone Health 600+D3 Chocolate Calcium Soft Chews, 60ct $7.97

20 This is not a full list of all brands and products available. Additional brands may be available in stores and online.

Supplements 24681635 Equate Calcium Citrate+D3 Petites Tblts, 200ct $6.98Supplements 13866106 Spring Valley Chromium Tblts, 1000 mcg, 100ct $7.88Supplements 11997253 Spring Valley CoQ-10 plus L-Carnitine Softgels, 100mg, 50ct $8.88Supplements 10323500 Estroven Menopause Relief Dietary Supplement Caplets, 28ct $16.97Supplements 10324590 Spring Valley Lutein w Zeaxanthin Softgels, 20mg, 90ct $13.48Supplements 180792347 Spring Valley Omega-3 Fish Oil Softgels, 500mg, 180ct $9.88Supplements 108763226 Spring Valley Omega-3 Fish Oil Softgels, 500 Mg, 120 Ct $6.88Supplements 46008080 Nature’s Bounty L-Lysine Amino Acid Supplmnt Tblts, 1000mg, 60ct $7.33Supplements 26862276 Viactiv Calcium Plus D Caramel Soft Chews, 100ct $9.66

Call 1-866-413-2582 (TTY: 711) to order these products by phone. Prices and item numbers subject to change. 21Call 1-866-413-2582 (TTY: 711) to order these products by phone. Prices and item numbers subject to change.

Notes

This is not a full list of all brands and products available. Additional brands may be available in stores and online.22 This is not a full list of all brands and products available. Additional brands may be available in stores and online.22

Notes

23Call 1-866-413-2582 (TTY: 711) to order these products by phone. Prices and item numbers subject to change.

Notes

Amerigroup STAR+PLUS MMP (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees.

Over-the-counter benefits are administered by Solutran®, an independent company. All brands listed in this catalog are trademarked by their respective manufacturers.

IngenioRx, Inc. is an independent company providing pharmacy benefit management services on behalf of your health plan.